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FNP Review 9
GI disorders appendicitis
Question | Answer |
---|---|
inflammation of the variform appendix | appendicitis |
causes of appendicitis | obstruction formed by fecalith , foreign body, inflammation or neoplasm; hypertrophy of lymphoid tissue associated with viral infection, trapped barium after imaging, intestinal worms |
appedicitis:most common in people | age 10-30 yr |
appendicitis: classic presentation | abdominal pain that is poorly localized to periumblical or epigastric area, with migration to RLQ; 4-6hr; rebound tenderness, fever, guarding |
appendicitis: physical exam | RLQ tenderness with rebound & guarding; positive Rovsing's sign, psoas sign, obturator |
appendicits: red flag differential | ectopic pregnancy, intestinal obstruction, torsion of viscus, abdominal aneurysm |
appendicitis: diagnostic workup | CBC (leukocytosis); UA (exclude hematuria/infection); urine bHCG (female); abd xray (exclude intestinal obstruction); CT scan (detect appendiceal inflammation) |
appendicitis: treatment | observation, monitor UO & VS, IVF resuscitation; urgent appednectomy (sx consult); avoid cathartics or enemas for risk of performation; antibiotics |